Characteristics and outcomes of patients presenting with hypertensive urgency in the office setting

JAMA Internal Medicine

Volumn 176, Issue 7, 2016, Pages 981-988

  Patel, Krishna K ^a   Young, Laura ^a   Howell, Erik H ^a,b   Hu, Bo ^a   Rutecki, Gregory ^a   Thomas, George ^a   Rothberg, Michael B ^a  

^a LERNER RESEARCH INSTITUTE   (United States)

^b UNIVERSITY OF ROCHESTER   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ANGIOTENSIN RECEPTOR ANTAGONIST; BETA ADRENERGIC RECEPTOR BLOCKING AGENT; CALCIUM CHANNEL BLOCKING AGENT; CLONIDINE; DIPEPTIDYL CARBOXYPEPTIDASE INHIBITOR; HYDRALAZINE; LABETALOL; LOOP DIURETIC AGENT; NITRIC ACID DERIVATIVE; POTASSIUM SPARING DIURETIC AGENT; THIAZIDE DIURETIC AGENT;

ACUTE CORONARY SYNDROME; ACUTE KIDNEY FAILURE; ADULT; AMBULATORY CARE; ANTIHYPERTENSIVE THERAPY; ARTICLE; BLOOD PRESSURE MONITORING; BODY MASS; CARDIOVASCULAR DISEASE; CEREBROVASCULAR ACCIDENT; CHRONIC KIDNEY DISEASE; COHORT ANALYSIS; COMPARATIVE STUDY; CONTROLLED STUDY; DIASTOLIC BLOOD PRESSURE; ELEVATED BLOOD PRESSURE; FEMALE; FOLLOW UP; HEALTH CARE SYSTEM; HOSPITAL ADMISSION; HUMAN; HYPERTENSION; LENGTH OF STAY; LUNG EDEMA; MAJOR CLINICAL STUDY; MALE; OUTCOME ASSESSMENT; PATIENT REFERRAL; PREVALENCE; PRIORITY JOURNAL; RETROSPECTIVE STUDY; SHORT TERM SURVIVAL; SYSTOLIC BLOOD PRESSURE; AGED; BLOOD PRESSURE MEASUREMENT; EMERGENCY; EMERGENCY HEALTH SERVICE; HOSPITAL DISCHARGE; HOSPITAL EMERGENCY SERVICE; HOSPITALIZATION; MIDDLE AGED; PROCEDURES; SEVERITY OF ILLNESS INDEX; STATISTICS AND NUMERICAL DATA; TREATMENT OUTCOME; UNITED STATES;

AGED; BLOOD PRESSURE DETERMINATION; EMERGENCIES; EMERGENCY MEDICAL SERVICES; EMERGENCY SERVICE, HOSPITAL; FEMALE; HOSPITALIZATION; HUMANS; HYPERTENSION; MALE; MIDDLE AGED; OUTCOME AND PROCESS ASSESSMENT (HEALTH CARE); PATIENT DISCHARGE; PREVALENCE; SEVERITY OF ILLNESS INDEX; UNITED STATES;

EID: 84979034719     PISSN: 21686106     EISSN: None     Source Type: Journal    
DOI: 10.1001/jamainternmed.2016.1509     Document Type: Article

References (24)

1. Nwankwo T, Yoon SS, Burt V, Gu Q. Hypertension among adults in the United States: National Health and Nutrition Examination Survey, 2011-2012. NCHS Data Brief. 2013;(133):1-8.
2. Anderson KM, Wilson PW, Odell PM, Kannel WB. An updated coronary risk profile: A statement for health professionals. Circulation. 1991;83(1):356-362.
3. Vasan RS, Larson MG, Leip EP, et al. Impact of high-normal blood pressure on the risk of cardiovascular disease. N Engl J Med. 2001;345(18): 1291-1297.
4. Chobanian AV, Bakris GL, Black HR, et al; Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. National Heart, Lung, and Blood Institute; National High Blood Pressure Education Program Coordinating Committee. Seventh report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure. Hypertension. 2003;42(6): 1206-1252.
5. Lewington S, Clarke R, Qizilbash N, Peto R, Collins R; Prospective Studies Collaboration. Age-specific relevance of usual blood pressure to vascular mortality: Ameta-analysis of individual data for one million adults in 61 prospective studies. Lancet. 2002;360(9349):1903-1913.
6. Kessler CS, Joudeh Y. Evaluation and treatment of severe asymptomatic hypertension. Am Fam Physician. 2010;81(4):470-476.
7. Shayne PH, Pitts SR. Severely increased blood pressure in the emergency department. Ann Emerg Med. 2003;41(4):513-529.
8. Cherney D, Straus S. Management of patients with hypertensive urgencies and emergencies: A systematic review of the literature. J Gen Intern Med. 2002;17(12):937-945.
9. James PA, Oparil S, Carter BL, et al. 2014 Evidence-based guideline for the management of high blood pressure in adults: report from the panel members appointed to the Eighth Joint National Committee (JNC 8). JAMA. 2014;311(5):507-520.
10. Zampaglione B, Pascale C, Marchisio M, Cavallo-Perin P. Hypertensive urgencies and emergencies: prevalence and clinical presentation. Hypertension. 1996;27(1):144-147.
11. Chiang WK, Jamshahi B. Asymptomatic hypertension in the ED. Am J Emerg Med. 1998;16 (7):701-704.
12. Wolf SJ, Lo B, Shih RD, Smith MD, Fesmire FM; American College of Emergency Physicians Clinical Policies Committee. Clinical policy: critical issues in the evaluation and management of adult patients in the emergency department with asymptomatic elevated blood pressure. Ann Emerg Med. 2013;62 (1):59-68.
13. US Department of Health and Human Services, Health Resources and Services Administration. Hypertension control. http://www.hrsa.gov/quality/toolbox/measures/hypertension/. Accessed October 24, 2015.
14. Sekhon JS. Multivariate and propensity score matching software with automated balance optimization: The matching package for R. J Stat Softw. 2011;42(7):1-52.
15. Schafer JL, Kang J. Average causal effects from nonrandomized studies: A practical guide and simulated example. Psychol Methods. 2008;13(4): 279-313.
16. Stuart EA. Developing practical recommendations for the use of propensity scores: discussion of "A critical appraisal of propensity score matching in the medical literature between 1996 and 2003" by Peter Austin. Stat Med. 2008; 27(12):2062-2065.
17. Stuart EA. Matching methods for causal inference: A review and a look forward. Stat Sci. 2010;25(1):1-21.
18. Pinna G, Pascale C, Fornengo P, et al. Hospital admissions for hypertensive crisis in the emergency departments: A large multicenter Italian study. PLoS One. 2014;9(4):e93542.
19. Martin JF, Higashiama E, Garcia E, Luizon MR, Cipullo JP. Hypertensive crisis profile. Prevalence and clinical presentation. Arq Bras Cardiol. 2004;83(2):131-136.
20. Karras DJ, Kruus LK, Cienki JJ, et al. Evaluation and treatment of patients with severely elevated blood pressure in academic emergency departments: A multicenter study. Ann Emerg Med. 2006;47(3):230-236.
21. Nishijima DK, Paladino L, Sinert R. Routine testing in patients with asymptomatic elevated blood pressure in the ED. Am J Emerg Med. 2010;28 (2):235-242.
22. Bender SR, Fong MW, Heitz S, Bisognano JD. Characteristics and management of patients presenting to the emergency department with hypertensive urgency. J Clin Hypertens (Greenwich). 2006;8(1):12-18.
23. Katz JN, Gore JM, Amin A, et al; STAT Investigators. Practice patterns, outcomes, and end-organ dysfunction for patients with acute severe hypertension: The Studying the Treatment of Acute hyper Tension (STAT) registry. Am Heart J. 2009;158(4):599-606.
24. Vlcek M, Bur A, Woisetschlager C, Herkner H, Laggner AN, Hirschl MM. Association between hypertensive urgencies and subsequent cardiovascular events in patients with hypertension. J Hypertens. 2008;26(4):657-662.